EP2016916B1 - Dispositif d'ancrage d'os - Google Patents

Dispositif d'ancrage d'os Download PDF

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Publication number
EP2016916B1
EP2016916B1 EP07014318A EP07014318A EP2016916B1 EP 2016916 B1 EP2016916 B1 EP 2016916B1 EP 07014318 A EP07014318 A EP 07014318A EP 07014318 A EP07014318 A EP 07014318A EP 2016916 B1 EP2016916 B1 EP 2016916B1
Authority
EP
European Patent Office
Prior art keywords
rod
bone anchoring
anchoring device
engagement structure
receiving part
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP07014318A
Other languages
German (de)
English (en)
Other versions
EP2016916A1 (fr
Inventor
Lutz Biedermann
Wilfried Matthis
Stefan Freudiger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biedermann Motech GmbH and Co KG
Original Assignee
Biedermann Motech GmbH and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to DE602007007466T priority Critical patent/DE602007007466D1/de
Application filed by Biedermann Motech GmbH and Co KG filed Critical Biedermann Motech GmbH and Co KG
Priority to EP09172415A priority patent/EP2135573B1/fr
Priority to ES09172415T priority patent/ES2375539T3/es
Priority to EP07014318A priority patent/EP2016916B1/fr
Priority to ES07014318T priority patent/ES2348336T3/es
Priority to CN2008101336353A priority patent/CN101347351B/zh
Priority to TW097126861A priority patent/TWI413507B/zh
Priority to KR1020080069139A priority patent/KR101501265B1/ko
Priority to JP2008184794A priority patent/JP5222645B2/ja
Priority to US12/175,431 priority patent/US8277494B2/en
Publication of EP2016916A1 publication Critical patent/EP2016916A1/fr
Application granted granted Critical
Publication of EP2016916B1 publication Critical patent/EP2016916B1/fr
Priority to US13/602,938 priority patent/US20120330362A1/en
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7031—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped

Definitions

  • the invention relates to a bone anchoring device for the dynamic stabilization of bones, in particular for the dynamic stabilization of the spine. It comprises a bone anchoring element which can be connected to a flexible rod being made of an elastic material. For fixation of the rod an engagement structure is provided which has such a shape that the pressure distribution on the rod in the fixed state is equalized.
  • EP 1 759 646 A1 discloses a spinal implant for the dynamic stabilization of the spine which uses a flexible rod made of an elastomer material.
  • the rod is fixed in the receiving part by means of a locking device which clamps the rod by frictional forces with indirect form-fit contribution.
  • EP 1 795 134 A1 discloses a polyaxial screw for use with a flexible rod made of an elastomer material.
  • an engagement structure is provided in the receiving part receiving the rod and on the locking device locking the rod in the receiving part.
  • the engagement structure comprises ribs or grooves which have a symmetric cross section in each sectional plane. The ribs press onto the elastomer rod causing a depression in the surface of the rod, while leaving the surface structure of the rod intact.
  • Another bone anchoring device is known from EP-1 527 742 A1 (The preamble of claim 1 is based on this document).
  • the object is solved by a bone anchoring device according to the claim.
  • the bone anchoring device has the advantage that the load distribution on the rod caused by the engagement structure is optimized in such a way that pressure peaks acting onto the surface of the rod in certain areas are avoided and the pressure distribution is made more uniform. Therefore, the risk of an abrasion or violation of the surface of the rod which can cause a loosening of the fixation is avoided.
  • the bone anchoring device according to the invention it is possible to transfer a high axial force from the rod to the bone anchor without rupture of the rod and to generate as little abrasion as possible when repeatedly fixed and loosened, for example during secondary adjustments.
  • Fig. 1 shows an exploded perspective view of a bone anchoring device.
  • Fig. 2 shows the bone anchoring device of Fig. 1 in an assembled state.
  • Fig. 3 shows a perspective view of the locking device of the bone anchoring device according to Fig. 1 .
  • Fig. 4 shows a sectional view of the bone anchoring device according to Fig. 2 in a plane containing the rod axis.
  • Fig. 5 shows a side view of the bone anchoring element of Fig. 1 .
  • Fig. 6 shows an enlarged portion of containing the engagement structure of the bone anchoring element of Fig. 5 .
  • Fig. 7 shows partially sectional view of the bone anchoring device according to Fig. 4 without the locking element.
  • Fig. 8 shows a schematic view of the forces acting onto the rod in the conventional bone anchoring device.
  • Fig. 9 shows a schematic sectional view of the forces acting onto the rod and the engagement structure in a bone anchoring device of Fig. 1 .
  • Fig. 10a schematically shows an embodiment of the invention.
  • Fig. 10b shows a schematic view of the pressure distribution acting onto the rod according to the embodiment of Fig. 10a .
  • Fig. 11 shows a perspective view of another bone anchoring device in an assembled state.
  • Fig. 12 shows an exploded view of the bone anchoring device according to Fig. 11 .
  • Fig. 13 shows a perspective view of the pressure element of the bone anchoring device according to Fig. 12 .
  • Fig. 14 shows a bottom view of the pressure element of Fig. 13 .
  • Fig. 15 shows a top view of the pressure element of Fig. 13 .
  • Fig. 16 shows a perspective view of another bone anchoring device in an assembled state.
  • Fig. 17 shows an exploded view of the bone anchoring device of Fig. 16 .
  • Fig. 18 shows a perspective view from the lower side of the filling piece of the bone anchoring device according to Fig. 17 .
  • Fig. 19 shows a sectional view of the filling piece of Fig. 18 .
  • Fig. 20 shows a side view of the filling piece of Fig. 18 .
  • Fig. 21 shows a bottom view of the filling piece according to Fig. 18 and
  • Fig. 22 shows a top view of the filling piece according to Fig. 18 .
  • a bone anchoring device comprises a bone anchoring element 1 having a shank 2 with a bone thread and a tip at one end and a receiving part 3 at the opposite end.
  • the receiving part 3 is substantially cylindrically-shaped and comprises a substantially U-shaped recess 4 forming two free legs 5, 6.
  • An internal thread 7 is provided on the legs.
  • the bottom of the U-shaped recess forms a seat 8 for receiving a rod 9.
  • the rod 9 is used to connect several bone anchoring elements.
  • a locking element in the form of an inner screw 10 is provided which can be screwed-in between the legs 5, 6.
  • the rod 9 is made of a biocompatible, elastic material, preferably of plastics.
  • the material is a free-flowing material.
  • the rod 9 is made of an elastomer material basis of polycarbonate-polyurethane or polycarbonate urethane (PCU).
  • rib-like projections 11 are provided on the surface of the seat 8.
  • the rib-like projections 11 extend in a direction perpendicular to the longitudinal axis L of the recess 4. Therefore, they extend perpendicular to the longitudinal axis L R of the rod 9.
  • the projections 11 have such a length that they form a curvature corresponding to the seat 8. They end at a distance from the internal thread 7.
  • the rib-like projections 11 may run out on one or on either side in groove-like recesses which provide depressions in the surface of the seat 8 (not shown). Alternatively, depressions in the surface of the seat adjoining the projections can be provided to allow a material to flow into these depressions.
  • two rib-likes projections 11 are provided at a distance of the center of the seat 8 in the direction of the rod axis L r .
  • the distance from the outer ends of the seat 8 to the rib-like projection 11 is smaller than the distance between the rib-like projection 11 and the center of the seat 8. That means, the rib-like projections are provided in the outer region of the seat. To achieve secure clamping, two projections on the seat are sufficient.
  • the inner screw 10 which is to be screwed in between the legs 5, 6 comprises at its lower side 10a which faces the rod 9 a ring-shaped projection 12 in the form of an annular.rib with a central cavity.
  • a ring-shaped projection 12 in the form of an annular.rib with a central cavity.
  • two contact areas 12a, 12b are provided where the ring-shaped projection presses onto the rod.
  • the diameter of the ring-shaped projection 12 is such that the contact areas 12a, 12b are located at the same position but at the opposite side of the surface of the rod 9 where the contact areas 11a and 11b of the rib-like projections of the seat 8 are located.
  • the rib-like projection 11 and the ring-shaped projection 12 have an asymmetric cross section in a plane containing the longitudinal axis L R of the rod or in a plane parallel thereto.
  • the cross section is substantially triangle-shaped resulting in a first flank 14a and an opposite second flank 14b which have a different inclination.
  • the first flank 14a includes an angle ⁇ with the normal N to the surface of the seat 8 which is approximately 10° and the second flank 14b includes an angle ⁇ with the normal N to the surface of the seat 8 which is approximately 35°.
  • the angle ⁇ is preferably between greater than 0° and smaller than approximately 15°.
  • the angle ⁇ is preferably between approximately 30° and approximately 45°.
  • the edge 14c of the rib is rounded.
  • the second projection on the seat 8 which is shown in Fig. 1 has a similar structure except that the orientations of the first and second flank are mirrored. That means that the steep flanks 14a are oriented towards the center C of the seat, as shown in Fig. 4 .
  • the ring-shaped projection 12 of the locking device also has an asymmetric cross section having a first flank 15a and a second flank 15b with different inclinations.
  • the steep flank 15a is facing the center of the ring and the flank 15b is directed outward.
  • the angles ⁇ and ⁇ are preferably the same as those of the rib-like projections 11.
  • the orientation of the flanks of the rib-like projection 11 and of the ring-shaped projection 12 are such that the steep flanks are directed towards the center of the seat and of the inner screw, respectively.
  • the outer flanks having the smaller inclination are directed to the outer areas of the anchoring element or the locking element, respectively.
  • the bone anchoring element 1 and the inner screw 10 are made of a biocompatible rigid material, preferably of a metal, such as titanium or a titanium alloy.
  • first at least two bone anchoring elements are screwed into adjacent vertebrae, for example into the pedicles of the vertebrae.
  • the rod 9 is inserted into the receiving parts 3 until it is seated in the seat 8.
  • the rod is locked in its position by screwing-in the inner screw 10.
  • the inner screw 10 is not yet tightened, the position of the rod can still be adjusted in a stepless manner, since the rod has a smooth surface.
  • the inner screw 10 is tightened until the ring-shaped projection 12 comes into contact with the surface of the rod. As can be seen in Fig. 4 the opposite portions 12a and 12b of the ring-shaped projection are pressed down into the surface of the rod.
  • the rib-like projections 11 are pressing on the surface of the rod from below.
  • the projections do not harm the integrity of the surface of the rod.
  • the rod begins to flow under applied pressure. This material flow results in an indirect form-fit connection. The combination of direct frictional forces and indirect form-fit forces holds the rod in place.
  • Fig. 7 shows a partially sectional view of a part of the receiving part 3 with seat 8 and projection 11 shown in section and the rod 9.
  • a depression 16 is shown which is caused by pressure of the rib-like projection 11 pressing onto the rod 9.
  • the steep flank 14a provides the counterforce against translational movement of the rod 9.
  • the counterforce provided by the steep flank 14a is larger than the counterforce which would be provided by a flank having the same inclination than the flank 14b at the same local pressure.
  • the normal force F normal of the force F acting in longitudinal direction of the rod is larger in the conventional design of the rib which has symmetric shape ( Fig. 8 ), compared to the normal force F normal for the asymmetric engagement structure ( Fig. 9 ).
  • a larger clamping force exerted by the locking device is necessary than in the case of the asymmetric rib as shown in Fig. 9 . Therefore, the local pressure applied to the rod via the engagement structure can be reduced with the asymmetric design of the engagement structure.
  • only two ribs are provided in the seat as shown in Fig. 4 , the distance of which corresponds to the diameter of the ring-shaped projection on the lower surface of the locking device.
  • the orientation of the flanks is mirror-symmetrical, so that the effect described above can be obtained for tensional loads acting in one or the opposite longitudinal direction of the rod.
  • Fig. 10a shows a schematic view of the receiving part 3 of the bone anchoring device according to an embodiment of the invention seen in the direction of the rod axis.
  • the rib-like projection 11' in this embodiment is non-concentric about the rod axis L R .
  • the distance from the rod axis varies between a radius R 1 and R 2 , wherein R 2 is greater than R 1 .
  • the height of the rib-like projection 11' is the smallest while the height of the projection 11' is increasing in a direction varying from the center of the seat and thereafter decreasing again when it runs out into the direction of the legs 5,6.
  • Fig. 10b this results in a more uniform pressure distribution acting onto the rod 9.
  • Uniform pressure distribution means that there are no local pressure peaks.
  • the cross section of rib-like projection 11' can be symmetric or asymmetric in a plane containing the longitudinal axis of the rod.
  • Figs. 11 to 15 show a polyaxial bone anchoring device.
  • the bone anchoring device 1' comprises a bone anchoring element 20 in the form of a polyaxial bone screw having a screw element with a shank 21 with a bone thread, a tip at one end and a spherical head 22 at the opposite end.
  • a recess 23 for engagement with the screwing-in tool is provided at the side of the head 22 which is opposite to the shank.
  • the bone anchoring element 20 further comprises a receiving part 25 which has a first end 26 and a second end 27 opposite to the first end and a central axis C intersecting the plane of the first end and the second end. Coaxially with the central axis C a bore 29 is provided which extends from the first end to a distance from the second end. At the second end 27 an opening 30 (shown in dashed line) is provided the diameter of which is smaller than the diameter of the bore 29.
  • the head 22 is pivotably held in the receiving part 25 with the shank extending through the opening 30.
  • the receiving part 25 further has a substantially U-shaped recess 31 which starts at the first end 26 and extends in the direction of the second end 27.
  • a substantially U-shaped recess 31 which starts at the first end 26 and extends in the direction of the second end 27.
  • a pressure element 35 which has a substantially cylindrical construction with an outer diameter which is only slightly smaller than the inner diameter of the bore 29 to allow the pressure element 35 to be introduced into the bore 29 of the receiving part and to be moved in the axial direction.
  • the pressure element 35 On its lower side facing towards the second end 27, the pressure element 35 comprises a spherical recess 36 the radius of which corresponds to the radius of the spherical head 22 of the screw element.
  • the pressure element 35 On the opposite side the pressure element 35 comprises a U-shaped recess 37 extending transversely to the central axis C. The lateral diameter of this recess is selected such that the rod 9 which is to be received in the receiving part 25 can be inserted into the recess 37 and guided laterally therein.
  • the depth of the U-shaped recess 37 is such that in an assembled state when the rod is placed into the U-shaped recess, the pressure element does not project over the upper surface of the rod.
  • the bottom of the U-shaped recess of the pressure element 35 forms a seat 38 for the rod 9. Similar to the device of Fig. 1 two rib-like projections 39 are provided on the surface of the seat 38.
  • the rib-like projections 39 extend in a direction transversely to the longitudinal axis of the U-shaped recess 37 and, therefore, transversely to the longitudinal axis L r of the rod 9.
  • the rib-like projections 39 have an asymmetric shape with a steep flank directed to the center of the pressure element.
  • the pressure element further comprises a coaxial bore 40 to allow access to the recess 23 of the head 22 with a screwing-in tool.
  • the locking element is the inner screw 10 as in the device of Fig. 1 which has the ring-shaped projection 12 on its side 10a facing the rod 9.
  • the dimensions of the ring-shaped projection 12 are such that the projection contacts the surface of the rod at the opposite side of the rib-like projections 39, respectively.
  • the bone anchoring element can be preassembled, i.e. the bone screw is pivotably held in the receiving part and the pressure element is inserted and slightly held in a position in which its U-shaped recess is aligned with the U-shaped recess of the receiving part.
  • the bone anchoring element is screwed into the bone and the angular position of the receiving part relative to the bone screw is adjusted.
  • the rod 9 is inserted and the inner screw 10 tightened until it clamps the rod.
  • the function of the clamping is the same as in the device of Fig. 1 .
  • the inner screw is tightened, it presses onto the upper surface of the rod and hence presses down the pressure element onto the head 22 to lock the angular position of the head in the receiving part.
  • Figs. 16 to 22 show another bone anchoring device.
  • the bone anchoring device 1" is of the polyaxial type as the device of Fig. 11 . Parts which are identical to the device of Fig. 11 are indicated with the same reference numerals and the description thereof is not repeated. This device differs from the device of Fig. 11 by the locking device.
  • the locking device 100 is a two-part locking device and comprises a filling piece 101 and an inner screw 102.
  • the filling piece is shown in detail in Figs. 18 to 22 .
  • the filling piece 101 has a substantially square shaped upper end 105 with a circular opening 106 and a cylindrical recess 107 the radius of which corresponds to the radius of the rod 9.
  • two rib-like projections 108 are provided which extend in a direction transverse to the cylinder axis.
  • the rib-like projections 108 each are shaped asymmetrically with a first steep flank facing the center of the filling piece and a second flank directed outwardly of the filling piece, respectively.
  • the distance between the rib-like projections corresponds to the distance of the rib-like projections 39 of the pressure element 35.
  • the rib-like projections of the pressure element and the filling piece are located on opposite sides of the surface of the rod, respectively.
  • the filling piece further comprises two projections 109 which fit into the space enclosed by the internal thread 34 to slide along the internal thread when the filling piece is inserted.
  • the dimension of the filling piece 101 and the pressure element 35 is such that the projections 109 come into contact with the upper end of the pressure element when the filling piece 101 is pressed onto the rod.
  • the screw 102 comprises a cylindrical projection (not shown) fitting into the opening 106 of the filling piece in such a way that it can still rotate therein.
  • the bone anchoring element and the receiving part and a pressure element can be preassembled.
  • the bone anchoring element is screwed into the bone.
  • the rod 9 is inserted and the locking device comprising the filling piece 101 and the inner screw 102 is inserted.
  • the inner screw is tightened thereby pressing the filling piece 101 onto the surface of the rod.
  • the rod is clamped between the pressure element and the filling piece and the engagement structure in form of the ribs 39 and the ribs 108 engages the surface of the rod as in the previous devices.
  • the pressure element is also pressed down and locks the head 22 in its rotational position.
  • the number of the rib-like projections can vary. Also, a combination of projections and depressions can be provided. In this case, it is of advantage that also the depressions have an asymmetric cross section. This allows the material which is displaced when the projections press onto the surface of the rod to flow out of the depressions to generate an indirect form-fit connection.
  • the depressions can have a symmetric or asymmetric cross section. If the depressions also have an asymmetric cross section the clamping force of the rod can be reduced further while maintaining the same axial reaction loads.
  • the rod needs not to have a circular cross section, it can have an oval, rectangular, square or triangular cross section as well.
  • the receiving part and the pressure element can be modified in many known ways.
  • the receiving part can be designed such that the head 22 of the bone anchoring element can be introduced from the bottom.
  • the pressure element can extend above the surface of the rod when the rod is inserted and the locking device 10 can be a two-part locking device including inner set screw and an outer screw in the known manner.
  • the inner set screw has the engagement structure.
  • the locking devices also can be an outer nut or can include an outer nut cooperating with the legs of the receiving part.

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Claims (14)

  1. Dispositif d'ancrage osseux comprenant:
    un élément d'ancrage qui possède une bande de jambe (2; 21) à ancrer dans un os ou une vertèbre;
    une tige (9) pour relier au moins deux éléments d'ancrage, la tige étant faite d'un matériau élastiquement compressible;
    une partie (3; 25) de réception étant reliée à la bande de jambe pour recevoir la tige;
    un siège (8; 38) pour la tige prévue dans la partie de réception, le siège ayant une surface en contact avec la tige;
    un dispositif (10; 100) de verrouillage coopérant avec la partie de réception pour fixer la tige dans le siège, le dispositif de verrouillage comprenant une surface en contact avec la tige;
    dans lequel la surface en contact avec la tige du siège et/ou la surface en contact avec la tige du dispositif de verrouillage comprend une structure d'engagement pour engager la tige, la structure d'engagement ayant une projection (11') ayant deux extrémités et s'étendant sur une longueur entre les deux extrémités, caractérisé en ce que la hauteur de la projection varie sur la longueur de sorte qu'une distribution de pressions uniforme soit obtenue lorsque la projection s'appuie contre la tige (9), la projection (11') comprenant un centre entre les deux extrémités et une partie incluant le centre et où la hauteur diminue dans cette partie en direction du centre.
  2. Dispositif d'ancrage osseux selon la revendication 1, dans lequel une section en coupe transversale de la projection (11') est symétrique ou asymétrique dans un plan contenant un axe longitudinal (LR) de la tige (9).
  3. Dispositif d'ancrage osseux selon la revendication 2, dans lequel la section en coupe transversale asymétrique de la structure d'engagement a une forme triangulaire.
  4. Dispositif d'ancrage osseux selon l'une des revendications 1 à 3, dans lequel la structure d'engagement possède, lorsqu'on la regarde dans une direction perpendiculaire à l'axe longitudinal de la tige, un premier flanc (14a) et un deuxième flanc (14b) opposé au premier flanc, les premier et deuxième flancs ayant une inclinaison différente.
  5. Dispositif d'ancrage osseux selon l'une des revendications 1 à 4, dans lequel la structure d'engagement (11, 12; 39; 108) est une projection en forme de nervure.
  6. Dispositif d'ancrage osseux selon l'une des revendications 1 à 5, dans lequel la structure d'engagement comprend deux projections en forme de nervures écartées du centre de la surface en contact avec la tige.
  7. Dispositif d'ancrage osseux selon l'une des revendications 1 à 6, dans lequel la tige est maintenue en place par une force de frottement exercée par le dispositif de verrouillage avec une contribution d'adéquation de formes indirecte du fait de l'engagement de la tige par la structure d'engagement.
  8. Dispositif d'ancrage osseux selon l'une des revendications 1 à 7, dans lequel la partie (3) de réception est reliée de manière fixe à la bande de jambe (2) de sorte à fournir un dispositif d'ancrage osseux monoaxial.
  9. Dispositif d'ancrage osseux selon la revendication 8, dans lequel la partie de réception possède un évidement (4) en forme de U formant deux jambes ouvertes (5, 6) et dans lequel le siège (8) est prévu au fond de l'évidement (4).
  10. Dispositif d'ancrage osseux selon l'une des revendications 1 à 7, dans lequel la partie (25) de réception est reliée en pivotement à la bande de jambe (21) de sorte à fournir un dispositif d'ancrage osseux polyaxial.
  11. Dispositif d'ancrage osseux selon la revendication 10, dans lequel le siège (38) est pourvu dans un élément de pression qui est mobile dans la partie (25) de réception et qui verrouille la position angulaire de l'élément d'ancrage osseux si une pression est exercée sur l'élément de pression.
  12. Dispositif d'ancrage osseux selon l'une des revendications 1 à 11, dans lequel le dispositif (10) de verrouillage est un dispositif de verrouillage monopièce qui a la structure d'engagement (12) au niveau de son côté inférieur regardant la tige.
  13. Elément d'ancrage osseux selon les revendications 1 à 12, dans lequel le dispositif (100) de verrouillage est un dispositif de verrouillage à deux pièces comprenant une vis de pression (102) et un élément (101) de garniture entre la vis de pression et la tige, la structure d'engagement (108) étant prévue au niveau du côté inférieur de l'élément de garniture.
  14. Dispositif d'ancrage osseux selon l'une des revendications 1 à 13, dans lequel la tige (9) est faite d'un matériau à écoulement libre, de préférence d'un matériau élastomère.
EP07014318A 2007-07-20 2007-07-20 Dispositif d'ancrage d'os Not-in-force EP2016916B1 (fr)

Priority Applications (11)

Application Number Priority Date Filing Date Title
EP09172415A EP2135573B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage osseux
ES09172415T ES2375539T3 (es) 2007-07-20 2007-07-20 Dispositivo de anclaje óseo.
EP07014318A EP2016916B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage d'os
ES07014318T ES2348336T3 (es) 2007-07-20 2007-07-20 Dispositivo de anclaje óseo.
DE602007007466T DE602007007466D1 (de) 2007-07-20 2007-07-20 Knochenverankerungsvorrichtung
TW097126861A TWI413507B (zh) 2007-07-20 2008-07-16 骨骼固定裝置
CN2008101336353A CN101347351B (zh) 2007-07-20 2008-07-16 骨锚固装置
KR1020080069139A KR101501265B1 (ko) 2007-07-20 2008-07-16 뼈 고정장치
JP2008184794A JP5222645B2 (ja) 2007-07-20 2008-07-16 骨固着装置
US12/175,431 US8277494B2 (en) 2007-07-20 2008-07-17 Bone anchoring device
US13/602,938 US20120330362A1 (en) 2007-07-20 2012-09-04 Bone anchoring device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP07014318A EP2016916B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage d'os

Related Child Applications (2)

Application Number Title Priority Date Filing Date
EP09172415A Division EP2135573B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage osseux
EP09172415.3 Division-Into 2009-10-07

Publications (2)

Publication Number Publication Date
EP2016916A1 EP2016916A1 (fr) 2009-01-21
EP2016916B1 true EP2016916B1 (fr) 2010-06-30

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Family Applications (2)

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EP07014318A Not-in-force EP2016916B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage d'os
EP09172415A Not-in-force EP2135573B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage osseux

Family Applications After (1)

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EP09172415A Not-in-force EP2135573B1 (fr) 2007-07-20 2007-07-20 Dispositif d'ancrage osseux

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US (2) US8277494B2 (fr)
EP (2) EP2016916B1 (fr)
JP (1) JP5222645B2 (fr)
KR (1) KR101501265B1 (fr)
CN (1) CN101347351B (fr)
DE (1) DE602007007466D1 (fr)
ES (2) ES2375539T3 (fr)
TW (1) TWI413507B (fr)

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Also Published As

Publication number Publication date
EP2135573A1 (fr) 2009-12-23
US8277494B2 (en) 2012-10-02
CN101347351B (zh) 2012-06-20
US20090138052A1 (en) 2009-05-28
KR20090009714A (ko) 2009-01-23
US20120330362A1 (en) 2012-12-27
ES2348336T3 (es) 2010-12-02
TW200904379A (en) 2009-02-01
JP2009022758A (ja) 2009-02-05
CN101347351A (zh) 2009-01-21
ES2375539T3 (es) 2012-03-01
KR101501265B1 (ko) 2015-03-11
EP2135573B1 (fr) 2011-10-12
TWI413507B (zh) 2013-11-01
JP5222645B2 (ja) 2013-06-26
EP2016916A1 (fr) 2009-01-21
DE602007007466D1 (de) 2010-08-12

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